Provider Demographics
NPI:1780633131
Name:AROESTY, JEFFREY HUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:HUGH
Last Name:AROESTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 VALLEY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MOUNT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-2316
Mailing Address - Country:US
Mailing Address - Phone:973-770-7101
Mailing Address - Fax:973-770-7108
Practice Address - Street 1:400 VALLEY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MOUNT ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07856-2316
Practice Address - Country:US
Practice Address - Phone:973-770-7101
Practice Address - Fax:973-770-7108
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA060415174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
F78527Medicare UPIN
766333Medicare ID - Type Unspecified